Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.83 / $361.74 / $1,462.51	Facility		$121.83	$361.74	$1,462.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.99 / $361.74 / $361.74	Professional		$149.99	$361.74	$361.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $46.21 / $105.56	Facility		$19.48	$46.21	$105.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.21 / $441.15 / $526.07	Professional		$388.21	$441.15	$526.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $361.74 / $434.09 / $488.35	Facility		$361.74	$434.09	$488.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $404.39	Professional		$367.63	$367.63	$404.39